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Mac's Safety Space
- Volume
16
Issue
5

Flatten the curve – stop the spread!

May 16, 2022
Accreditation & Survey Preparation
By Steve MacArthur, Hospital Safety Consultant This week, our friends from Chicagoland unveiled the Top 5 Most Challenging Requirements for the usual run of accredited healthcare programs: https://...
Volume
25
Issue
5

Ensuring compliance with hazard vulnerability assessments, PPE requirements, others

December 22, 2025
Accreditation & Survey Preparation, Fire & Life Safety
S. Caleb Thomas, MS, CHSP, CHOP, healthcare safety specialist in environmental health and safety for the Oregon Health and Science University healthcare organization, is passionate about environment o...
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
19

DNV updates requirements on medical exemptions for COVID-19 vaccine

May 04, 2022
Accreditation & Survey Preparation, Infection Control
Check any medical exemptions from the COVID-19 vaccination that your facility approved before the CMS requirements for hospitals went into effect to ensure they are compliant, advised DNV Healthcare o...
Inside Accreditation & Quality
- Volume
4
Issue
5

CIHQ publishes standard revisions ahead of CMS renewal effort

May 10, 2022
Accreditation & Survey Preparation
CIHQ has updated its hospital accreditation standards as it finalizes its reapplication to CMS to remain as one of the four accreditation organizations for hospitals. ...
Mac's Safety Space
- Volume
16
Issue
5

One size fits none…

May 09, 2022
Accreditation & Survey Preparation, Environment and Facilities, Physical environment
Questions about the safety training of traveling staff in a "hit the ground running" environment. ...

Tab 6, OSHA Program Manual for Medical Facilities - May 2022 Revisions

Wed, 05/04/2022 - 09:00 - - Accreditation & Survey Preparation
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
18

DNV Healthcare announces top management change

April 29, 2022
Accreditation & Survey Preparation, Leadership & Finance
DNV Healthcare President Patrick Horine is leaving the company in May and will be replaced by the director of operations, Kelly Proctor. ...
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
18

CMS approves TJC as an AO for another 3 years

April 29, 2022
Accreditation & Survey Preparation
CMS approved The Joint Commission’s hospital accreditation program for another three years, through July 15, 2025. ...
Inside Accreditation & Quality
- Volume
4
Issue
5

Focus intensifies on maternal healthcare with CMS proposal, new TJC certification

May 03, 2022
Accreditation & Survey Preparation, Patient Safety
The focus on maternal healthcare is intensifying. CMS is exploring using new Conditions of Participation (CoP) and quality measures to push hospitals to improve maternal health outcomes, while The Joi...
Volume
25
Issue
4

Preparing for the 96-hour emergency operations standard

December 22, 2025
Accreditation & Survey Preparation
Ready to be operable for 96 hours in the event of an emergency? As stated in The Joint Commission’s elements of performance (EP) for standard EM.02.01.01, hospitals must comply in the following way...

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Chapter 2: Chapter Format and Tracer Planning

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  • News & Analysis
    • Accreditation & Quality Compliance Advisor
    • Mac's Safety Space
    • Inside Accreditation & Quality
    • Healthcare Safety Leader
    • Medical Environment Update
    • Patient Safety Monitor Journal
  • CMS Compliance Crosswalk
  • OSHA Program Manuals
  • Resources
    • Accreditation 101
    • Mock Tracers & Checklists
    • E-Books
    • Survey Training Essentials Toolkit
    • Webinars
    • Tools
  • Membership
    • Become a Member
    • Advisory Board
    • Sponsorship Opportunities
    • Contact Us
    • FAQ